HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: AI \ SCANNED Permit Number:,O —o SoG
BY
St. Lucie CountV
Building Permit Applicati `�
Planning and Development Services MAR 21 Pu19
Building and Code Regulation Division ST. Lucie
2300 Virginia Avenue, Fort Pierce FL 34982 County, Pepn..
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentia
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: 8750 S OCEAN DR PH-39, JENSEN BEACH
Legal Description: ISLAND DUNES CONDO A UNIT PH 39 AKA ADMIRAL CONDO (OR
Property Tax ID p: 3535-601-0093-000-5
Site Plan Name: CLARK
Project Name: CLARK
Setbacks Front NA Back: NA
Right Side: NA Left Side: NA
Lot No.
Block No.
DOOR REPLACEMENT (2 OPENINGS NON IMPACT WITH EXISITING SHUTTERS)
3iidiona
-
wor to
1HVAC
e e orme un
Gas Tank
er t Is permitcheck
❑Gas Piping_
a app y.
Shutters
Q
Windows/Doors
11 Electric
Plumbing
Sprinklers
Generator
D Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction:
$ 12,600.00
Utilities:InSewer Septic
Building Height:
"O.WNER/LESSEE'
CONTRACTOR
Name CLARK, RICHARD DARLENE
Name: MICHAEL GOODWIN
Address: 7850 S OCEAN DR PH39
Company: JENSEN BEACH ALUMINUM
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No.772-249-5428
Address: 1720 NW FEDERAL HWY
City: STUART State: FL •
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: CGC 1508437
11 vame ur cunscrucvon is pcouv or more, a xecuicutu ivotice or commencement is required.
JUrt`LtIVItIV IHL L,UNS I KULA IUN,LItN LAW INIF RMATION7- - -
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: FLORIDA ALUMINUM ENGINEERING Name:
Address: 0440 MARINER STREET SUITE110 Address:
City: TAMPA State: FL City: State:
Zip: 33609 Phone: 813374-2403 Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable I BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your aying twice for
improvements to your propert otice of Commencement must be recorded and p d on the jobsite
before the first in�ectyon. If end to obtain financing, consult ylrifFl�ley>der 6r 0rl before
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF ST ll## �/—
The forgoi g instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiV scy of �Lf69.Ccd/ 20/2 this/day of �'/�.�Cs-01 .20 %� by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Roricla) (Signature f-Notary Public- State of Flonc a
Personally Known _� OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/1
MPIRFS: December 7, 2022
Personally Known /- OR Produced Identification
Type of Identification Produced
Commission No.
My COMMISSION 0 GG 269714
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